National Audit of Seizure management in Hospitals (NASH)
The epilepsy research team at University of Liverpool have undertaken three rounds of the National Audit of Seizure management in Hospitals (NASH) in 2011, 2013 and 2019. NASH was collected data on adult patients from across the UK who went to a hospital emergency department (ED) as a result of a seizure.
NASH is the first national adult epilepsy audit in the UK and probably worldwide. Across the three rounds of audit, it has collected data on over 10,000 attendances at ED. Whilst there are many instances of good care being provided, the audit has shown a wide variability in performance between sites, and a need for better organised and accessible care for epilepsy patients.
The results of NASH have informed the development of National Quality Standards for managing epilepsy and seizures in adults, and have also led to the development and use of a seizure care pathway for hospitals within Cheshire & Merseyside. The aim of this care pathway is to ensure that patients who attend ED after a seizure receive the optimum care and, where applicable, receive an onward referral to a neurologist for further assessment, advice and management.